Active NPI
Zachary Fisk, MD
- Pain Medicine Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD60491842
- Practice address
- 1310 116TH Ave NE
Bellevue, WA 98004-3817 - Phone
- (425) 440-3351
- Fax
- (425) 440-3439
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Anesthesiology Physician | 207L00000X | 60491842 | WA | |
| Pain Medicine Physician | 208VP0000X | MD60491842 | WA | Primary |
Addresses
Primary practice location
1310 116TH Ave NE
Bellevue, WA 98004-3817
Mailing address
1310 116TH Ave NE
Bellevue, WA 98004-3817
Phone (425) 440-3351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170405000497 | WA | Practitioner - Pain Management | 8022394105 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Tufts University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Acute Pain Management PLLC
Practice addresses (Care Compare)
13033 NE Bel Red Rd
Suite 210
Bellevue, WA 98005-2633
Phone (425) 440-3351
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.86 of 100
- Quality
- 61.97
- Promoting interoperability
- 67
- Improvement activities
- 40
- Cost
- 71.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60491842 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Pain Alliance | Pain Medicine | Current | Accepting new patients |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients |
Locations
13033 NE Bel Red Rd
Ste 210
Bellevue, WA 98005
Phone (425) 440-3351
13033 NE Bel Red Rd
Ste 120
Bellevue, WA 98005
Phone (425) 440-3351
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
Interoperability endpoints
- zfisk@apmp-wa.direct.office.nextgen.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
-
- Pain Clinic/Center
- Corvallis, OR
- NPI 1437893286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1992931711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-440-3351",
"fax_number": "425-440-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 116TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043817",
"telephone_number": "425-440-3351",
"fax_number": "425-440-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "ZACHARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "60491842",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WA",
"license": "MD60491842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.